Active NPI
Lawrence H. Resnick, M.D. a Prof Corp
- Mobile Mammography Clinic/Center
- Santa Monica, CA
National Provider Identifier
1316266216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Mammography Clinic/Center
- Legal business name
- LAWRENCE H. RESNICK, M.D. A PROF CORP
- Practice address
- 2901 Wilshire Blvd
Suite 319
Santa Monica, CA 90403-4901 - Phone
- (310) 829-2931
- Fax
- (310) 453-9226
- NPI assigned
- May 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence H Resnick, M.D.
- Title
- President
- Phone
- (310) 829-2931
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Mammography Clinic/Center | 261QR0207X | Primary |
Addresses
Primary practice location
2901 Wilshire Blvd
Suite 319
Santa Monica, CA 90403-4901
Mailing address
2901 Wilshire Blvd
Suite 319
Santa Monica, CA 90403-4901
Phone (310) 829-2931
Other names 1
- Woman's Breast Center-Mobile
National Provider Directory
National Provider DirectoryLocations
2901 Wilshire Blvd
Ste 325
Santa Monica, CA 90403
Phone (310) 829-2931
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Sherman Oaks, CA
- NPI 1942269469
-
- Diagnostic Radiology Physician
- Torrance, CA
- NPI 1053383505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274140800000",
"number": "1316266216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 WILSHIRE BLVD",
"address_2": "SUITE 319",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034901",
"telephone_number": "310-829-2931",
"fax_number": "310-453-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 WILSHIRE BLVD",
"address_2": "SUITE 319",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034901",
"telephone_number": "310-829-2931",
"fax_number": "310-453-9226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE H. RESNICK, M.D. A PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-18",
"last_updated": "2010-05-18",
"status": "A",
"authorized_official_last_name": "RESNICK",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-829-2931",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0207X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile Mammography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Woman's Breast Center-Mobile",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.